Individual provider Active NPI

Amanda Cuca, APRN, CNP

  • Nurse Practitioner
  • Glenview, IL
National Provider Identifier
1033462643
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209009846 Issued in IL
Practice address
2701 Patriot Blvd
Glenview, IL 60026-8039
Phone
(847) 535-7157
Fax
(847) 998-9221
NPI assigned
Oct 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209009846 IL Primary

Addresses

Primary practice location

2701 Patriot Blvd
Glenview, IL 60026-8039

Mailing address

2701 Patriot Blvd
Glenview, IL 60026-8039
Phone (847) 535-7157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130110000021 IL Practitioner - Nurse Practitioner 8628221215 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Rush Medical College of Rush University, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

350 S Waukegan
Suite 150
Deerfield, IL 60015-5239
Phone (312) 926-3107

350 S Waukegan Rd
Deerfield, IL 60015-5239
Phone (312) 926-6146

4445 W Irving Park Rd
Chicago, IL 60641-2808

660 N Westmoreland Rd
302 Lake Forest OBGYN
Lake Forest, IL 60045-1673
Phone (312) 926-6146

675 N Saint Clair St
Chicago, IL 60611-5975

675 N St Clair
Chicago, IL 60611-5975

870 N Milwaukee Ave
Vernon Hills, IL 60061-1521

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Group CurrentSince Dec 10, 2016 Accepting new patients
Mount Sinai Community Foundation CurrentSince Oct 6, 2012 Accepting new patients
Mount Sinai Community Foundation CurrentSince Oct 6, 2012 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jul 9, 2024 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jul 9, 2024 Accepting new patients
Mount Sinai Community Foundation Current Accepting new patients
Central Dupage Physician Group Past Accepting new patients

Locations

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

1725 W Harrison St
Ste 837
Chicago, IL 60612
Phone (312) 942-6013

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

2835 N Sheffield Ave
Ste 104
Chicago, IL 60657
Phone (312) 876-4577

26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900

1725 W Harrison St
Ste 263
Chicago, IL 60612
Phone (312) 942-6163

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1725 W Harrison St
Ste 10
Chicago, IL 60612
Phone (312) 563-3700

2701 Patriot Blvd
Glenview, IL 60026
Phone (847) 724-4536

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

Interoperability endpoints

  • Direct secure messaging: acuca66169@direct.rush.rush-health.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1033462643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 PATRIOT BLVD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268039",
            "telephone_number": "847-535-7157",
            "fax_number": "847-998-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 PATRIOT BLVD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268039",
            "telephone_number": "847-535-7157",
            "fax_number": "847-998-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUCA",
        "first_name": "AMANDA",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209009846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

Verify at the official NPI Registry.